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Environmental Information Form <br /> Part B <br /> DATE : <br /> (To be Completed By Applicant ) <br /> NOTE : In completing this form, use additional sheets if necessary. <br /> Answer all questions to the best of your ability. If a question <br /> is not applicable to your project, write NA (not applicable ) . <br /> Please do not leave blanks . Incomplete . forms cannot be accepted. <br /> PERSON COMPLETING FORM PROPERTY OWNER AGENT OF OWNER <br /> Name Jose L. Alva <br /> Address 4505 Precissi Lane <br /> City Stockton, <br /> State/Zip CA 95207 <br /> Phone (209) 477-6061 <br /> A. PROJECT DESCRIPTION <br /> 1. Type of application: Q Use Permit, Q Major Subdivision, <br /> Q Zone Reclassification, Q Minor Subdivision, Q Site Approval, <br /> Zone Variance, X� Other : General Plan Text Amendment <br /> 2. Project location: Applicable county wide. <br /> Describe the project; i .e. , request being made and nature of use . <br /> Identify specific project components : No specific project at <br /> present <br /> 3 . Total acreage of project: N/A # of existing parcels : N/A <br /> Assessor Parcel # (s ) : N/A <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: No <br /> 5 . Other permits and approvals (County, Regional, State and Federal) <br /> required for this project: <br /> PERMIT AGENCY <br /> N/A <br /> General Plan Text Amendment 11 ( 6-86 ) <br />